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Posts tagged with "Health Affairs"

Update on Hospital Price Transparency Rule - Are Arizona Hospitals In Compliance? Arizona News

Update on Hospital Price Transparency Rule - Are Arizona Hospitals In Compliance?

A new blog post by the director and chief transformation officer of the Center for Medicare provides a public update on the progress of the Hospital Price Transparency Rule and compliance among hospitals. As of January 2023, CMS had issued nearly 500 warning notices and over 230 requests for corrective action plans since the initial...
National News

Amazon Announces RxPass, Dollar General to Offer Health Services

Amazon is moving to beef up its pharmaceutical offerings and Dollar General has thrown its hat in the ring for healthcare delivery services. Plus, a Health Affairs explainer on private sector healthcare spending. Amazon already offers a generic drugs through Amazon Pharmacy, but the distribution giant is launching a new program...
National News

ISSUE BRIEF: Administrative Costs 15% to 30% of Total Healthcare Spending

National healthcare spending is at an all-time high and getting higher every year, but according to new research, somewhere between 15% and 30% of that spending is attributable to administrative expenses -- and a good deal of that spending does not contribute to health outcomes. Between 1970 and 2019, total U.S. health spending grew...
Medicare Advantage: Scrutinizing the Celebrated Program National News

Medicare Advantage: Scrutinizing the Celebrated Program

The success of Medicare Advantage (MA) can't be understated. In the last 11 years, the program has grown to represent nearly 50% of the Medicare-eligible market, a benchmark it will likely pass within the next year. Arizona MA growth reflects the program's national success. At the Hertel Report's 2020 Winter State of the State, Dan...
CMS Rules

CMS Revises Nursing Home Visitation Guidance While LTCs Grapple with Worker Shortage

The Centers for Medicare and Medicaid Services (CMS) updated its guidance for nursing home visitations during the COVID-19 pandemic this week. Although the guidance relaxes previous regulations, the agency notes its concern for the vaccination rates of nursing home employees. Unfortunately, unlike most other areas of the medical...
News

ACA Marketplace Update: Actuaries 2022 Premium Analysis & UHC Expands Marketplace Footprint

This week a large amount of analysis on how the Affordable Care Act, insurance rates and private insurance faired during the ongoing COVID-19 pandemic. Also, due to increased enrollment during the special enrollment period and the need for health insurance spurred by pandemic-related job loss has encouraged insurance giant...
Closing the Gaps in Reproductive Healthcare National News

Closing the Gaps in Reproductive Healthcare

Throughout the 2020 presidential campaign, President Joe Biden and Vice President Kamala Harris vowed to improve maternal healthcare, especially for women of color, nationwide. While disparities in healthcare between race and gender groups are receiving renewed scrutiny, the Biden-Harris administration is also moving to make sexual and...
National News

Health Affairs Report: MA Costs Medicare While MSSP ACOs Saves Federal Dollars

According to the study, MA costs between 2 and 5.5 percent more than traditional Medicare in comparison to the MSSP program, which saved Medicare 1 and 2 percent in 2016; together MA and the MSSP covered nearly 20 million Medicare beneficiaries. According to the report, MA savings is lost when payments are boosted for star rating...
National News

Making the Pitch for Competitive Bidding in Medicare Advantage

Health Affairs cites a report that analyzed 2010 MA vs. fee-for services Medicare claims data showing MA is between 9 and 30 percent lower than Traditional Medicare for healthcare spending per enrollee, per month. In a future study out of Stanford  University by Vilsa Curto and colleagues, the researchers write, We calculate that MA...
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